Organization
MIRANDA DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS FELIPE MIRANDA DMD (OWNER)
(270) 365-7244
Entity
Organization
Contact information
Practice address
406 W WASHINGTON ST, PRINCETON, KY 42445-1938
(270) 365-7244
(270) 365-7243
Mailing address
406 W WASHINGTON ST, PRINCETON, KY 42445-1938
(270) 365-7244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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